Transmasseteric antero-parotid facelift approach for open reduction and internal fixation of condylar fractures

• 발행기관: 대한구강악안면외과학회
• 저자명: Moon-Gi Choi
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면외과학회지 제41권 제3호, 149~155쪽, 전체 7쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 2015.06.30

영문 초록

Surgical approaches to the condylar fracture include intraoral, preauricular, submandibular, and retromandibular approaches. Each approach has its own advantages and disadvantages. When a patient needs esthetic results and an intraoral approach is not feasible, the transmasseteric antero-parotid facelift approach is considered. This approach permits direct exposure and allow the surgeon to fixate the fractured unit tangentially. Tangential fixation is critical to osteosynthesis. Disadvantages of the transmasseteric antero-parotid facelift approach include damage to the facial nerve and a longer operation time. However, after the initial learning curve, facial nerve damage can be avoided and operation time may decrease. We report three cases of subcondylar fractures that were treated with a transmasseteric antero-parotid facelift approach. Among these, two cases had trivial complications that were easily overcome. Instead of dissecting through the parotid gland parenchyma, the transmasseteric antero-parotid facelift approach uses transmasseteric dissection and reduces facial nerve damage more than the retromandibular transparotid approach. The esthetic result is superior to that of other approaches.

목차

I. Introduction

II. Cases Report

III. Discussion

키워드

Transmasseteric antero-parotid facelift approach Condylar fracture